Review of physical activity promotion policy development - WHO/Europe

Review of physical activity promotion policy development and legislation in European Union Member States

WHO/EC Project on monitoring progress on improving nutrition and physical activity and preventing obesity in the European Union

Report no. 10

EUR/10/ EUDHP1003693/ 8.1/10

Abstract The World Health Organization Regional Office for Europe and the Directorate-General for Health and Consumers of the European Commission have established a joint three-year project to monitor progress in improving nutrition and physical activity and preventing obesity in the European Union (EU). This review provides an overview of the identified published national policy documents on promoting physical activity in the 27 EU Member States. Keywords: PHYSICAL FITNESS MOTOR ACTIVITY OBESITY - prevention and control HEALTH PROMOTION - methods HEALTH POLICY - legislation and jurisprudence EVALUATION STUDIES EUROPE

Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). © World Health Organization 2010 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the World Health Organization. The responsibility for the content of this report lies with the authors, and the content does not represent the views of the European Commission; nor is the Commission responsible for any use that may be made of the information contained herein.

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Table of Contents List of abbreviations............................................................................................................................................4 Acknowledgements...........................................................................................................................................4 Introduction.............................................................................................................................................................4 Aim of this review................................................................................................................................................5 Methodology for document collection.................................................................................................5 Overview of national physical activity promotion policies........................................................6 Main focus of the policies............................................................................................................................15 Coordinating mechanisms..........................................................................................................................17 References..............................................................................................................................................................20 ANNEX 1. Providers of country information for this review....................................................32

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List of abbreviations The following abbreviations are used in this report: DG SANCO EC EU HEPA NGO THE PEP WHO

Directorate-General for Health and Consumers (EC) European Commission European Union Health-Enhancing Physical Activity Non Governmental Organization Transport, Health and Environment Pan-European Programme World Health Organization

Acknowledgements This review is a deliverable of work package 2 of the three-year collaborative project between the World Health Organization (WHO) and the Directorate-General for Health and Consumers (DG SANCO) of the European Commission (EC), which began in January 2008 (2007WHO02) under the title “Monitoring progress on improving nutrition and physical activity and preventing obesity in the European Union (EU)”. WHO would like to express sincere appreciation to the National Information Focal Points that were nominated for the project, the WHO Nutrition Counterparts, and other country informants that completed the two country reporting templates and provided the relevant information and physical activity promotion policy documents (see Annex 1). Without their continual collaboration, the compilation of policy documents would not have been possible. Grateful thanks are extended to Lideke Middelbeek, WHO Regional Office for Europe, Copenhagen and Sonja Kahlmeier, Institute for Social and Preventive Medicine, Zurich for writing the review, to Trudy Wijnhoven for her comments, technical input and overall coordination, to Philippe Roux, DG SANCO, Luxembourg City for his feedback, to Sally Charnley and Susana Fernandez Tordrup, WHO Regional Office for Europe, Copenhagen for administrative support, to Lars Møller, Møller and Kompagni for the layout and typesetting, and to Frank Theakston for the text editing.

Introduction The importance of physical activity for health has been well documented. Evidence shows that physical activity reduces the risk of certain chronic conditions such as cardiovascular diseases, diabetes type 2, cancer, overweight and obesity, and improves musculoskeletal health and psychological well-being (1,2). Sports promotion has a long history in many countries (3), yet examples of comprehensive national strategies for the promotion of health-enhancing physical activity date only from the past few years. The growing interest of Member States in developing policies and strategies on physical activity may be partly related to the processes involved in the preparation and endorsement of the WHO Global Strategy on Diet, Physical Activity and Health in 2004 (4) and the focus on physical activity during the WHO European Ministerial Conference on 4

Counteracting Obesity in 2006 (5). Physical activity was included on the agenda of the 2006 WHO European Ministerial Conference with a presentation of the publication Steps to health: a European framework to promote physical activity for health (6). The importance of physical activity for tackling the obesity epidemic was also underlined in the European Charter on Counteracting Obesity (7). In the history of public health successes, policy interventions have often played a major role. Their potential to affect large numbers of people underscores the need for increased emphasis on policy development, also in the promotion of health-enhancing physical activity (HEPA) (8). Formulating a national HEPA policy will give support, coherence and visibility at the political level and, at the same time, make it possible for the institutions involved – such as national government sectors, regions or local authorities, stakeholders and the private sector – to be coherent and consistent in their actions by following common objectives and common strategies, as well as to negotiate and assign roles and responsibilities. Furthermore, development of a policy may lead to greater allocation of resources and greater accountability and, if legally binding, such a policy serves to commit countries to implement actions (9).

Aim of this review The main purpose of this review is to evaluate the progress made by the 27 EU Member States in developing and issuing physical activity promotion policies and legislation in this area. An overview of policy and legislative documents is provided, including information on their coverage, the issuing body and the targeted sector. The report also includes a paragraph on the existence of a specific national coordinating mechanism in the area of physical activity promotion.

Methodology for document collection In the framework of this project, policy documents were defined as written documents that contain strategies and priorities, define goals and objectives, and were issued by part of the public administration (3,10). A first collection of national policy documents on physical activity promotion, with the aim of developing a WHO European online database, was undertaken in 2006 (11). A combination of methods was employed, including Internet-based searches of documents on the web sites of national ministries of health, transport, environment, education, culture, youth and sports; of health promotion agencies such as national and international agencies; of local and subnational initiatives (as available); and of other relevant projects and activities promoting physical activity, such as Bicycle Policy Audit and Walk 21 congresses (12,13). Furthermore, a search was conducted on the Google search engine using the following keywords: physical activity, HEPA, health enhancing physical activity, physical activity promotion, policy, guideline(s), strategy, programmes, action plan and national programme. 5

In addition, documents from Member States received by the WHO European Centre for Environment and Health (Rome office), findings from the WHO Member States National Chronic Disease Prevention and Control Questionnaire (2005) and documents prepared for the WHO European Ministerial Conference on Counteracting Obesity held in Istanbul in 2006 were reviewed. In June 2006, an overview of the results of the search findings up to this date was distributed (14), together with a call for further contributions to around 100 counterparts of HEPA Europe as well as the Transport, Health and Environment Pan-European Programme (THE PEP) (15). Additional information on existing policy documents was received through a questionnaire sent in May 2007 to the 53 WHO Nutrition Counterparts in the European Member States as a follow-up to the 2006 WHO European Ministerial Conference. Along with the questionnaire, a list of earlier identified obesity, nutrition and physical activity policy documents was sent to them for correction and the addition of new documents. A total of 34 countries (of which 22 were EU Member States) responded by sending back the questionnaire and/or the attached list of national policy documents. Of these, 33 countries completed the questionnaire, while one country sent only the annexed list of policy documents back; nine countries completed both. As part of the joint WHO/EC monitoring project, the 27 National Information Focal Points completed two country reporting templates and were requested to provide information on policy documents aimed at counteracting obesity, including those focusing on the promotion of healthy nutrition and/or physical activity. With the outcome of this reporting exercise, the above-mentioned collection rounds were updated and an overview is given in this report.

Overview of national physical activity promotion policies Table 1 provides an overview of national policy documents identified for 26 EU Member States that contain specific goals on physical activity. For each document, the title, year of publication, coverage (national or subnational), issuing body and sector (public health, sport, transport, education and environment) are listed. Subnational policy documents were included if the National Information Focal Point indicated that the development of health policies was decentralized. A total of 139 policy or legislative documents were identified, of which most were national documents. The exceptions were Belgium, Spain and the United Kingdom, for which subnational policy documents were also included because of the decentralization of health policy in their political systems.

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In terms of institutional involvement, for the greater part of the identified policy information, the health ministry was responsible for developing the policy and issuing the document. Other main issuing bodies were ministries concerned with social affairs, education, transport, environment and culture, and national institutes concerned with public health, nutrition, sport and physical activity.

Table 1. National policy documents of EU Member States that contain specific goals on the promotion of physical activity Country

Title

Year of Coverage publication

Issuing body

Sector

Austria

Fit for Austria Charter (16)

2007

National

Ministry of Sports; supported by Ministries of Education and Health

Sport, public health

Austria

Cycling master plan: strategy for the promotion of cycling traffic in Austria (17)

2006

National

Ministry for Agriculture, Forestry, Environment and Water

Transport

Austria

Austrian strategy for sustainable development (18)

2002

National

Ministry for Agriculture, Forestry, Environment and Water

Environment

Austria

Principle of health education (19)

1997

National

Ministry of Education

Education

Belgium

Flemish Draft Action Plan on Nutrition and Physical Activity 2008–2015 (20)

2008

Subnational

Flemish Ministry of Welfare, Public Health and Family

Public health

Belgium

Action plan sports for all for Flanders 2007–2009 (21)

2007

Subnational

Flemish Ministry of Sport

Sport

Belgium

National plan on nutrition and health 2005–2010 (22)

2006

National

Federal Public Health Service for Health, Food Chain Safety and Environment

Public health

Belgium

Policy for promoting healthy nutritional habits and physical activity of children and adolescents (23)

2005

Subnational

Government of the French Community

Public health

Belgium

Cycling action plan for Brussels 2005–2009 (24)

2005

Subnational

Ministry of Public Works, Transport and Mobility

Transport

Belgium

Action plan to promote healthy dietary habits and regular physical activity (25)

2004

Subnational

Flemish Institute for Health Promotion

Public health

Bulgaria

National strategy for development of physical education and sport in Bulgaria 2010–2020 (26)

2010

National

Council of Ministers

Sport, education

Bulgaria

National programme of sport for all (27)

2009

National

Ministry of Physical Education and Sports

Public health

Bulgaria

National programme of sport for children in their free time (28)

2009

National


Public health

7

Country

Title


Issuing body

Sector

Bulgaria

National strategy and national programme for development of physical education and sports in Republic of Bulgaria, 2009–2013 (29)

2009

National


Sport, education

Bulgaria

National Strategy for Children 2008–2018 (30)

2008

National

State Agency for Child Protection

Children and young people

Bulgaria

National Health Strategy 2008– 2013 (31)

2008

National

Ministry of Health

Public health

Bulgaria

National Programme for Environmental Health 2008–2013 (32)

2008

National

Ministry of Health

Public health

Bulgaria

National programme for the development of school education and preschool training and preparation 2006–2015 (33)

2006

National

Ministry of Education and Science

Education

Bulgaria

National Programme for Child Protection (34)

2006

National

Council of Ministers and State Agency for Child Protection


Bulgaria

National Food and Nutrition Action Plan 2005–2010 (35)

2005

National


Public health

Bulgaria

National strategy and national programme for development of physical education and sports in Republic of Bulgaria, 2005–2008 (36)

2005

National


Sport, education

Bulgaria

The Health Law (37)

First published 2004; updated 2008

National

Ministry of Health

Public health

Bulgaria

Law for Physical Education and Sports (38)


National


Sport, education

Cyprus

National Nutrition Action Plan (39)

2007

National

Ministry of Health

Public health

Czech Republic

National cycling development strategy of the Czech Republic (40)

2005

National

Ministry of Transport

Transport

Czech Republic

National Programme of Sport Development for All (41)

2000

National

Ministry of Education, Youth Sport and Sport

Czech Republic

Programme for Health Promotion (42)

2000

National

Ministry of Health

Public health

Denmark

Nordic Plan of Action on better health and quality of life through diet and physical activity (43)

2006

National

Nordic Council of Ministers

Public health

Denmark

National action plan against obesity – recommendations and perspectives (44)

2003

National

National Board of Health

Public health

8

Country

Title


Issuing body

Sector

Denmark

Better health for children and young people (45)

2003

National

Ministry of the Interior and Health

Public health

Denmark

Healthy throughout life – the targets and strategies for public health policy of the Government of Denmark, 2002–2010 (46)

2002

National

Ministry of the Interior and Health

Public health

Estonia

National Health Plan 2009–2020 (47)

2008

National

Ministry of Social Affairs

Public health

Estonia

Transport development plan 2006–2013 (48)

2006

National

Ministry of Economic Affairs Transport and Communications

Estonia

Strategic development plan Sport for All 2006–2010 (49)

2006

National

Ministry of Culture

Sport

Estonia

Sport Act (50)

2005

National

Parliament

Sport

Estonia

National strategy for prevention of cardiovascular diseases 2005–2020 (51)

2005

National

Ministry of Social Affairs

Public health

Estonia

National traffic safety strategy 2003–2015 (52)

2003

National

Ministry of Economic Affairs Transport and Communications

Estonia

Estonian Sports Charter (53)

2002

National

Ministry of Culture and Estonian Olympic Committee

Sport

Estonia

Public Health Act (54)

1995

National

Government of Estonia

Public health

Finland

Government resolution on 2008 development guidelines for healthenhancing physical activity and nutrition (55)

National

Ministry of Social Affairs and Public health Health

Finland

Physical activity and well-being in Finland in the 2010s (56)

2008

National


Public health

Finland


2006

National


Public health

Finland

Promoting pedestrian and bicycle traffic in Finland, the JALOIN programme 2001–2004 (57)

2005

National

Ministry of Transport and Communications

Transport

France

Nutrition and physical activity in schools (58)

2009

National

Ministry of Education; supported by Ministry of Health and Sports and Ministry of Agriculture and Fisheries

Public health

France

Charter to promote healthy diet and physical activity in television programmes (59)

2009

National

Ministry of Health and Sports

Public health

France

Second national action plan environment and health 2009– 2013 (60)

2009

National

Ministry of Ecology, Energy, Sustainable Development and the Sea

Environment

France

National plan on disease prevention through physical activity and sport (61)

2008

National

Ministry of Health, Youth, Sport and Associations

Public health

France

Second national programme on 2006 nutrition and health 2006–2010 (62)

National

Ministry of Health and Solidarity

Public health

9

Country

Title


Issuing body

Sector

France

National Plan on Healthy Ageing 2007–2009 (63)

2005

National

Ministry of Health and Solidarity

Public health

France

Sedentariness and physical inactivity (64)

2003

National

Ministry of Health

Public health

France

National programme for nutrition and health 2001–2005 (65)

2001

National

Ministry for Employment and Welfare; supported by Ministry of Health

Public health

Germany

IN FORM – Germany's initiative for a 2008 healthy nutrition and more physical activity (66)

National

Ministry of Food, Agriculture Public health and Consumer Protection and Ministry of Health

Germany

National Strategy for the Promotion 2008 of Child Health (67)

National

Ministry of Health

Public health

Germany

National action plan for a childfriendly Germany 2005–2010 (68)

2005

National

Ministry for Family, Seniors, Women and Youth

Public health

Germany

National Cycling Plan 2002–2012 “Ride your bike!” (69)

2002

National

Ministry of Transport, Building and Housing

Transport

Greece

No national policy has been developed yet

–

–

–

–

Hungary

National Youth Strategy 2009–2024 (70)

2009

National

Ministry of Social and Labour Affairs


Hungary

National Sport Strategy, Parliament Resolution (71)

2007

National

Sport State Secretariat of the Ministry of Local Government

Sport

Hungary

Parliamentary Resolution 47/2007 2007 (V.31) OGY on the National Strategy 2007–2032 to improve the situation of children (72)

National

Parliament

Public health

Hungary

Cycling Hungary Programme 2007–2013 (73)

2007

National

Ministry of Economy and Transport

Transport

Hungary

“Johan Bela” National Programme for the Decade of Health (74)

2003

National

Ministry of Health

Public health

Hungary

Act on Public Education (75)

1993

National

Parliament

Education

Ireland

National Men's Health Policy 2008–2013 (76)

2008

National

Ministry of Health and Children

Public health

Ireland

The National Health Promotion Strategy 2000–2005 (77)

2000

National

Ministry of Health and Children

Public health

Italy

Gaining health (78)

2007

National

Ministry of Health

Public health

Italy

National plan for prevention 2005–2007 (79)

2005

National


Public health

Italy

National health plan 2003–2005 (80)

2003

National

Ministry of Health

Public health

Latvia

National sports development programme 2006–2012 (81)

2006

National

Cabinet of Ministers

Sport

Latvia

Sport policy guidelines 2004–2009 (82)

2004

National


Sport

Latvia

Public Health Strategy (83)

2001

National


Public health

Lithuania

State Physical Education and Sport Strategy (draft) (84)

2010

National

Government of Lithuania

Public health

10

Country

Title


Issuing body

Sector

Lithuania

Law on Physical Education and Sports (85)


National

Parliament

Sport, education

Luxembourg Action plan for human-powered mobility (86)

2008

National

Ministry of Transport, Ministry of Public Works and Ministry of Interior and Spatial Planning

Transport

Luxembourg Action plan for the promotion of healthy nutrition and physical activity (87)

2006

National

Ministry of Education, Ministry of Health, Ministry of Family and Integration and Ministry of Sports

Public health

Malta

A strategy for the prevention of non-communicable diseases in Malta (88)

2010

National

Department of Health

Public health

Malta

Together for a sustainable future. Chapter 9. Investing in our children’s education (89)

2009

National

Ministry of Finance, the Economy and Investment

Sport

Malta

Reshaping sports – towards 2007 personal development, health and success. A medium-term strategic plan for enhancing sports culture in Malta 2007–2010 (90)

National

Maltese Sports Council and Sport Ministry of Education, Youth and Employment

Malta

Draft National Environment and Health Action Plan 2006–2010 (91)

2006

National

Ministry of Health, the Elderly and Community Care

Environment

Malta

Sports Act, Chapter 455 (92)

2003

National

Government of Malta

Sport

Netherlands

Memorandum on obesity – out of balance: the burden of obesity (93)

2010

National

Ministry of Health, Welfare and Sport

Public health

Netherlands

National Action Plan for Sport and Exercise (94)

2006

National


Sport

Netherlands

Sport action plan against obesity (95)

2005

National

Netherlands Olympic Committee and Netherlands Sport Federation

Sport

Netherlands

Time for sport: exercise, participate, perform (96)

2005

National


Sport

Netherlands

Covenant on overweight and obesity, a balance between eating and physical activity (97)

2005

National

Ministry of Health, Welfare and Sport and Ministry of Education, Culture and Science

Public health

Netherlands

National Plan of Action for Children 2004 (98)

2004

National


Public health

Netherlands

Living longer in good health, also a question of a healthy lifestyle (99)

2004

National


Public health

Netherlands

Towards an active policy (100)

2003

National


Sport

Poland

National Health Programme 2007–2015 (101)

2007

National


Public health

11

Country

Title


Issuing body

Poland

National prevention programme of overweight, obesity and noncommunicable diseases through diet, and physical activity improvement 2007–2016 (102)

2006

National

Ministry of Health and Public health National Food and Nutrition Institute

Portugal

National programme against obesity 2005–2009 (103)

2005

National

Ministry of Health

Public health

Portugal

National Sports for All Programme Mexa-Se (104)

2005

National

National Institute of Sports

Sport

Portugal

National Health Plan 2004–2010 (105)

2004

National

Ministry of Health

Public health

Romania

Sport Law No. 69/2009 with further amendments and supplements (106)

2009

National

Parliament

Sport

Romania

Governmental Decision No. 1573/2004 for approval the List of 410 investment objectives of the Programme “Construction of sport facilities” published in the Official Journal of Romania, No. 902/2004 (107)

2004

National

Government of Romania

Sport

Slovakia

National obesity prevention programme (108)

2008

National

Ministry of Health

Public health

Slovakia

Č.300/2008 Law on the organization and promotion of sport (109)

2008

National

Government of Slovakia

Sport

Slovakia

National programme for sport development (110)

2001

National

Government of Slovakia

Sport

Slovenia

National Health Enhancing Physical Activity Programme 2007–2012 (111)

2007

National

Ministry of Health

Public health

Spain

Integrated Plan for the promotion 2009 of sports and physical activity in the Extremadura Region (112)

Subnational

Council of Extremadura

Public health

Spain

Health Plan for the Extremadura Region 2009–2012 (113)

2009

Subnational


Public health

Spain

Health Plan for the Region of Murcia 2010–2015 (114)

2009

Subnational

Council of Murcia

Public health

Spain

Integral Plan for Physical Activity and Sport Promotion (115)

2009

National

High Council for Sport

Sport

Spain

3rd Health framework for the Castilla and Leon Region (116)

2008

Subnational

Council of Castilla and Leon

Public health

Spain

2nd Health framework for the La Rioja Region 2009–2013 (117)

2008

Subnational

Council of La Rioja

Public health

Spain

Plan on prevention and control of cardiovascular diseases in the autonomous region of Valencia (118)

2007

Subnational

Council of Valencia

Public health

Spain

Plan on Physical Activity, Sport and Health in Catalonia (119)

2007

Subnational

Health Department and Sport Secretary

Public health, sport

12

Sector

Country

Title


Issuing body

Sector

Spain

Integrated plan on cardiovascular diseases for the Extremadura Region 2007–2011 (120)

2006

Subnational


Public health

Spain

Healthy Activities, Physical Activity and Feeding Programme (121)

2006

Subnational

Council of Galicia

Public health

Spain

Strategy for Nutrition, Physical Activity and Prevention of Obesity (122)

2005

National

Ministry of Health

Public health

Spain

Plan on promotion of physical activity and a balanced diet for the Andalusia Region (123)

2004

Subnational

Council of Andalusia

Public health

Sweden

Government Bill: future outdoor recreation, 2009/10:238 (124)

2010

National

Ministry of the Environment Environment

Sweden

A renewed public health policy (125)

2008

National

Ministry of Health and Social Affairs

Public health

Sweden

Future travel and transport – infrastructure for sustainable growth (126)

2008

National

Ministry of Enterprise, Energy and Communications

Transport

Sweden


2006

National


Public health

Sweden

Action Plan for healthy dietary habits and increased physical activity (127)

2005

National

National Institute of Public Health

Public health

Sweden

Sweden's environmental policy: 2005 Environmental Quality Objective 15 – A good built environment (128)

National

Ministry of the Environment Environment

Sweden

Sweden’s new public health policy (129)

2002

National

National Institute of Public Health

Public health

Sweden

The will of sports (130)

First published 1995; updated 2005, 2009

National

Swedish Sport Confederation

Sport

Sweden

Physical education and health (131)

1995

National

Swedish National Agency for Education

Education

United Kingdom

Active Travel Strategy (132)

2010

Subnational

Department for Transport

Transport

United Kingdom

Cycling and Health: a Strategy for 2005–2008 and Action Plan for 2005–2006 (133)

2006

Subnational

Cycling England

Transport

United Kingdom

Transport Scotland, framework document (134)

2005

Subnational

Scottish Executive

Transport

United Kingdom

Healthy Ageing Action Plan for Wales (135)

2005

Subnational

Welsh Assembly Government

Public health

United Kingdom

Climbing Higher, the Welsh Assembly Strategy for Sport and Physical Activity (136)

2005

Subnational


Sport

United Kingdom

Framework for the development of sport and physical activity (137)

2005

Subnational

Sports Council for Wales

Sport

13

Country

Title


Issuing body

Sector

United Kingdom

Choosing Activity, a Physical Activity Action Plan (138)

2005

Subnational

Department of Health

Public health

United Kingdom

Making London a walkable city (139)

2004

Subnational

Transport for London

Transport

United Kingdom

The London Plan for Sport and Physical Activity (140)

2004

Subnational

Sport England London

Sport

United Kingdom

The Framework for sport in England 2004 (141)

Subnational

Sport England

Sport

United Kingdom

The Future of Transport, a Network for 2030, White Paper (142)

2004

Subnational


Transport

United Kingdom

Walking and Cycling: an Action Plan (143)

2004

Subnational


Transport

United Kingdom

Travelling to school: an action plan, England (144)

2003

Subnational

Department for Transport and Department for Education and Skills

Transport

United Kingdom

Let's make Scotland more Active: A Strategy for Physical Activity (145)

2003

Subnational

Physical Activity Task Force

Public health

United Kingdom

Improving Health in Scotland (146)

2003

Subnational

Scottish Executive

Public health

United Kingdom

Walking Northern Ireland, an Action 2003 Plan (147)

Subnational

Department for Regional Transport Development Roads Service

United Kingdom

Walking and cycling strategy for Wales (148)

2003

Subnational


Transport

United Kingdom

Game Plan, strategy for delivering the governments sport and physical activity objectives (149)

2002

Subnational

Department for Culture, Media and Sport

Sport

United Kingdom

Northern Ireland’s road safety strategy 2002–2012 (150)

2002

Subnational

Department of the Environment

Transport

United Kingdom

Welsh Assembly Government’s Play Policy (151)

2002

Subnational


Public health

United Kingdom

Tomorrow's roads: safer for everyone. The Government's road safety strategy and casualty reduction targets for 2010 (152)

2000

Subnational


Transport

United Kingdom

Northern Ireland Cycling Strategy (153)

2000

Subnational

Department for Regional Transport Development Roads Service

United Kingdom

The Northern Ireland Physical Activity Strategy Action Plan 1998–2002 (154)

1998

Subnational

Health Promotion Agency for Northern Ireland

14

Public health

Main focus of the policies The main focus of the policy documents was not always solely physical activity but also nutrition, obesity, cardiovascular disease prevention, public health, sustainable development or environmental health. The extent to which physical activity was addressed in the policy document depended on the type of document. In public health strategies, for instance, physical activity is mostly described in more general terms, while in policy documents that purely focused on physical activity a much more in-depth description was given. Of the 26 countries for which information was available, 24 had at least one national policy document that took a public health policy approach. In all, 73 documents addressing physical activity and public health were identified, including:

• •

documents focusing purely on physical activity and health, such as the Slovenian National Health Enhancing Physical Activity Programme 2007–2012 (111) and the Plan on Physical Activity, Sport and Health in Catalonia (119).

documents in which physical activity is part of an overarching public health strategy, such as in Denmark (Healthy throughout life 2002–2010) (46), Estonia (National Health Plan 2009–2020) (47) and France (National nutrition and health programmes 2001–2005 (65) and 2006–2010 (62));

•

•

documents on lifestyles combining nutrition and physical activity, for example the Belgian Action Plan to promote healthy dietary habits and regular physical activity (25), the German IN FORM initiative to promote healthy nutrition and more physical activity (66) and the Luxembourg Action plan for the promotion of healthy nutrition and physical activity (87); and documents in which physical activity is part of an obesity strategy, such as in the Netherlands (Memorandum on obesity) (93) and Portugal (National programme against obesity 2005–2009) (103).

Thirty-four documents issued by 16 countries took a sport-related approach to physical activity promotion. For example, the Czech Ministry of Education, Youth and Sport developed a National Programme of Sport Development for All (41), the Cabinet of Ministers in Latvia adopted a National sports development programme 2006–2012 (81) and the Spanish High Council for Sport introduced an Integral Plan for Physical Activity and Sport Promotion (115). For 10 countries, policy information on physical activity and transport (22 documents) was identified. The United Kingdom, for example, indicated many subnational transport-related documents, including Transport Scotland (134), Travelling to school – an action plan for England (144) and Walking and cycling strategy for Wales (148).

15

Five countries (9 documents) provided policy information that set out goals on physical education. An example is the Hungarian Act on Public Education (75), which includes a compulsory minimum level of physical education as part of the education programme. For only four countries (Austria, France, Malta and Sweden) was a document on physical activity and the environment identified. Examples are the Austrian strategy for sustainable development (18) and the French Second national action plan on environment and health (60). Two policy documents from Bulgaria (30, 34) and one from Hungary (70), which can be described as national programmes for children and/or young people, could not be categorized into the five sectors (see Box 1). In comparison to the amount of public health related policy documents that have been identified, not many sport, transport, education and environment related physical activity promotion policy documents have been identified. This is most likely due to the fact that the information collected in this review mainly comes from counterparts from the Ministry of Health, meaning that policies developed in other sectors might be underreported.

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Box 1. Different sectors engaged in the promotion of physical activity Public health Engaging in regular physical activity has many health benefits. In relation to that, the public health sector has a key leadership role to play in developing policies and partnerships for promoting physical activity for health. Transport Transport settings can provide excellent opportunities for achieving the recommended daily amount of physical activity for health. Transport-related policy documents can, for example, promote cycling and walking opportunities and address the safety needs of cyclists and pedestrians. Environment The physical environment can facilitate or constrain physical activity and active living. Environment-related policy documents can include ways in which the environment can facilitate increased participation in physical activity, such as the promotion of mixed land use and the development of urban planning strategies that support physical activity. Sport The sports sector forms the context for leisure time physical activity for many people, and contributes greatly to the number of people meeting the recommendations for physical activity. Policy documents issued by the sports sector contribute to shaping the right conditions for participating in sports and thus for engaging in a more active life. Education The education sector can contribute to increasing levels of physical activity by, for example, setting standards for physical education in schools, creating a school environment that encourages physical activity and promoting the inclusion of physical activity in school policies.

Source: WHO Regional Office for Europe (6).

Coordinating mechanisms Countries were asked to report on the existence of a specific national coordinating mechanism (working group, advisory body, coordinating institution, etc.) in the area of physical activity promotion. Table 2 provides an overview of the current coordinating mechanisms in place, the institution that is leading this mechanism and the participating stakeholders, which can be representatives from various public and private sectors. 17

Table 2. National coordinating mechanisms on the promotion of physical activity Country

Coordinating mechanism in place

Leading institution

Participating stakeholders

Austria

Yes, since 2009

Ministry of Sport

Government departments on sport, education and health

Belgium

Yes, since 2005

Federal Public Service of Public Health, Food Safety and Environment (working group of National Food and Health Plan provided guidelines for physical activity)

Government departments on health, sport, education and research

Bulgaria

Yes, since 2005

Ministry of Health, Ministry of Education and Science and State Agency of Youth and Sports

Government departments on health, sport, education and research; nongovernmental organizations (NGOs); academia; communities; private sector; media

Cyprus

Yes, since 2005

Ministry of Health

Government departments on health, food, sport, education and research; NGOs; academia; private sector; media

Czech Republic

No

–

–

Denmark

No

–

–

Estonia

Yes, since 2006

Ministry of Culture

Government departments on health, development, sport, education and research; NGOs; academia; communities; private sector; media

Finland

Yes, since 2008

Council of Physical Activity Promotion

Government departments on health, sport, transport, education and research

France

Yes, since 2001

Ministry of Health and Sports

Government departments on health, agriculture, food, finance, trade and economy, consumer affairs, sport, education and research, social welfare; NGOs; academia; civil society; communities; private sector

Germany

Yes, since 2007

Federal Ministry of Health and Federal Ministry of Food, Agriculture and Consumer Protection

Government departments on health, agriculture, food, consumer affairs, sport, transport, urban planning, education and research, social welfare, labour, culture; NGOs; academia; civil society; communities; private sector

Greece

No

–

–

Hungary

Yes a

Ministry of Local Government

Government departments on health, sport, transport; NGOs; civil society

Ireland

Yes, since 2009

Department of Health and Children

Government departments on health, agriculture, food, trade and economy, sport, transport, urban planning, social welfare, education and research, labour, culture; NGOs; academia; private sector

Italy

No

–

–

Latvia

Yes, since 2003

Ministry of Education and Science

Government departments on health, finance, education and welfare; NGOs; academia

18

a

Country

Coordinating mechanism in place

Leading institution

Participating stakeholders

Lithuania

Yes, since 2002

Ministry of Health, Ministry of Interior and Department on Physical Education and Sports

Government departments on health, food, sport, urban planning, education and research, social welfare; NGOs; Sport for All Association; academia; civil society; communities; media

Luxembourg

Yes, since 2007

Ministry of Sport and Ministry of Health

Government departments on health, food, sport, urban planning, education and research, social welfare; NGOs; academia; civil society; communities; media

Malta

Yes, since 2003

Health Promotion and Disease Prevention Directorate

Government departments on health, sport, education, youth; academia; local government; Malta Olympic Committee and Education

Netherlands

Yes, since 2003

National Institute for Sports and Physical Activity

Government departments on health, food, sport, transport, education and research, labour; academia; communities

Poland

Yes a

Ministry of Sport and Tourism, Sport for All Department

Government departments on sport, health, education; academia; research institutes NGOs; communities

Portugal

Yes a

National Institute for Sport

Government departments on sport

Romania

Yes, since 2000

National Authority for Youth and Sport

Government departments on education, research, youth and sport; Romanian Olympic and Sports Committee

Slovakia

Yes, since 2001


Government departments on health, food, sport, transport, education and research, labour; academia; communities

Slovenia

Yes, since 2007

Ministry of Health and Ministry of Education and Sport

Government departments on health, sport, transport, education, research

Spain

Yes, since 2001

Spanish Food Safety and Nutrition Agency (Ministry of Health and Social Policy)

Government departments on health, agriculture, food, consumer affairs, sport, education and research, and social welfare; academia; civil society; communities (regional councils); private sector; media

Spain

Yes, since 1990

High Council for Sports

Government departments on sport, health, urban planning, education, transport, social welfare, research; communities (regional councils); civil society; private sector

Sweden

Yes, since 2001

Swedish National Public Health Institute and Swedish National Centre for Child Health Promotion

Government departments on health and sport; NGOs; communities; private sector

United Kingdom

Yes, since 2008

Cross-government Physical Activity Programme Government departments on health, Board culture, media, sport, communities and local government, children, schools and families, transport, environment

Since when not stated. 19

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117. II Plan de Salud de La Rioja 2009–2013 [2nd Health framework for the La Rioja Region 2009–2013]. Logroño, Council of La Rioja, 2008 (http://www.riojasalud.es/ficheros/2_ plan_salud_la_rioja_2009-2013.pdf, accessed 22 December 2010). 118. Plan de Prevencion y Control de las Enfermedades cardiovasculares en la Comunidad Valenciana [Plan on prevention and control of cardiovascular diseases in the autonomous region of Valencia]. Valencia, Council of Valencia, 2007. 119. Plan de Actividad Fisica , Deporte y Salud en Cataluña [Plan on Physical Activity, Sport and Health in Catalonia]. Barcelona, Health Department and Sport Secretary, 2007 (http:// www.sportcountries.org/index.php?md=documents&id=1165&lg=esp, accessed 22 December 2010). 120. Plan Integral sobre Enfermedades Cardiovasculares 2007–2011. Extremadura [Integrated Plan on cardiovascular diseases for the Extremadura Region 2007–2011]. Mérida, Council of Extremadura, 2006 (http://www.juntaex.es/consejerias/sanidaddependencia/dg-planificacion-ordenacion-coordinacion/common/piec.pdf, accessed 22 December 2010). 121. Programa Gallego de Actividades Saludables, Ejercicio y Alimentación [Healthy Activities, Physical activity and Feeding Programme]. Santiago de Compostela, Council of Galicia, 2006. 122. Estrategia para la Nutricion, Actividad Fisica y Prevencion de la Obesidad [Strategy for Nutrition, Physical Activity and Prevention of Obesity]. Madrid, Ministry of Health, 2005. 123. Plan para la promoción de la actividad fisica y la alimentación equilibrada para Andalucia [Plan on promotion of physical activity and a balanced diet for the Andalusia Region]. Seville, Council of Andalusia, 2004. 124. Government Bill: future outdoor recreation, 2009/10:238. Stockholm, Ministry of the Environment, 2010. 125. A renewed public health policy. Stockholm, Ministry of Health and Social Affairs, 2008. 126. Future travel and transport – infrastructure for sustainable growth. Stockholm, Ministry of Enterprise, Energy and Communications, 2008. 127. Action Plan for healthy dietary habits and increased physical activity. Stockholm, National Institute of Public Health, 2005 (http://www.fhi.se/PageFiles/4175/ healthydietaryhabitsphysicalactivitysummary0502.pdf, accessed 22 December 2010). 128. Sweden’s environmental policy: Environmental Quality Objective 15 – A good built environment. Stockholm, Ministry of the Environment, 2005 (http://www.miljomal. nu/Environmental-Objectives-Portal/15-A-Good-Built-Environment/, accessed 22 December 2010).

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129. Sweden’s new public health policy. Stockholm, National Institute of Public Health, 2002. 130. The will of sports. Stockholm, Swedish Sport Confederation, 2009. 131. Physical education and health. Stockholm, Swedish National Agency for Education, 1995. 132. Active Travel Strategy. London, Department of Transport, 2010 (http://www.dft.gov.uk/ pgr/sustainable/cycling/activetravelstrategy/pdf/activetravelstrategy.pdf, accessed 22 December 2010). 133. Cycling and Health: a Strategy for 2005–2008 and Action Plan for 2005–2006. London, Cycling England, 2006. 134. Transport Scotland, framework document. Edinburgh, Scottish Executive, 2005 (http:// www.scotland.gov.uk/Resource/Doc/47121/0020855.pdf, accessed 22 December 2010). 135. Healthy Ageing Action Plan for Wales. Cardiff, Welsh Assembly Government, 2005 (http:// wales.gov.uk/topics/olderpeople/publications/healthyageingactionplan?lang=en, accessed 22 December 2010). 136. Climbing Higher, the Welsh Assembly Strategy for Sport and Physical Activity. Cardiff, Welsh Assembly Government, 2005 (http://wales.gov.uk/topics/cultureandsport/ sportandactiverecreation/climbing/;jsessionid=2yMXMgZLG7SnLnZqPK7Vj1gMpT5CYk ZKG91f3L4dspLp6NBmbTJS!765542023?lang=en, accessed 22 December 2010). 137. Framework for the development of sport and physical activity. Cardiff, Sports Council for Wales, 2005. 138. Choosing Activity, a Physical Activity Action Plan. London, Department of Health, 2005 (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/ documents/digitalasset/dh_4105710.pdf, accessed 22 December 2010). 139. Making London a walkable city. London, Transport for London, 2004 (http://www.tfl.gov. uk/assets/downloads/corporate/walking-plan-2004.pdf, accessed 22 December 2010). 140. The London Plan for Sport and Physical Activity. London, Sport England London, 2004 (http://www.london.gov.uk/welllondon/resources/signposting/docs/physicalactivity/18.%20London%20Plan%20for%20Sport%20and%20Physical%20Activity.pdf, accessed 22 December 2010). 141. The Framework for sport in England. London, Sport England, 2004 (http://www. sportengland.org/facilities__planning/planning_tools_and_guidance/planning_ kitbag/planning_contributions/idoc.ashx?docid=1c7bbfe0-4525-427c-95497ed06d9d82f5&version=-1, accessed 22 December 2010). 142. The Future of Transport, a Network for 2030, White Paper. London, Department for Transport, 2004 (http://webarchive.nationalarchives.gov.uk/+/http://www.dft.gov.uk/about/strategy/ whitepapers/fot/thefutureoftransportwhitepap5710, accessed 22 December 2010). 30

143. Walking and Cycling: an Action Plan. London, Department for Transport, 2004 (http:// webarchive.nationalarchives.gov.uk/+/http://www.dft.gov.uk/pgr/sustainable/walking/ actionplan/walkingandcyclinganactionplan, accessed 22 December 2010). 144. Travelling to school: an action plan, England. London, Department for Transport and Department for Education and Skills, 2003 (http://media.education.gov.uk/assets/files/ pdf/t/travelling%20to%20school%20action%20plan.pdf, accessed 22 December 2010). 145. Let’s make Scotland more Active: A Strategy for Physical Activity. Edinburgh, Physical Activity Task Force, 2003 (http://www.scotland.gov.uk/Resource/Doc/47032/0017726. pdf, accessed 22 December 2010). 146. Improving Health in Scotland. Edinburgh, Scottish Executive, 2003 (http://www.scotland. gov.uk/Resource/Doc/47034/0013854.pdf, accessed 22 December 2010). 147. Walking Northern Ireland, an Action Plan. Belfast, Department for Regional Development Roads Service, 2003. 148. Walking and cycling strategy for Wales. Cardiff, Welsh Assembly Government, 2003 (http://wales.gov.uk/consultations/transport/walkingcycling/;jsessionid=416TMQzZzZ ZlvnZMCvQgfLSLgnpyftvRLLbgTxdFfFLn3lCbrs8K!235090802?lang=en&status=closed, accessed 22 December 2010). 149. Game Plan, strategy for delivering the governments sport and physical activity objectives. London, Department for Culture, Media and Sport, 2002. 150. Northern Ireland’s road safety strategy 2002–2012. Belfast, Department of the Environment, 2002 (http://www.roadsafetyni.gov.uk/index/publicity/publicitystrategy. htm, accessed 22 December 2010). 151. Welsh Assembly Government’s Play Policy. Cardiff, Welsh Assembly Government, 2002 (http://www.chwaraecymru.org.uk/page.asp?id=60, accessed 22 December 2010). 152. Tomorrow’s roads: safer for everyone. The Government’s road safety strategy and casualty reduction targets for 2010. London, Department for Transport, 2000 (http://www. ukroads.org/ukroadsafety/articlespapers/articles_dft_sfe_s3yr.pdf, accessed 22 December 2010). 153. Northern Ireland Cycling Strategy. Belfast, Department for Regional Development Roads Service, 2000 (http://www.roadsni.gov.uk/northern_ireland_cycling_strategy.pdf, accessed 22 December 2010). 154. The Northern Ireland Physical Activity Strategy Action Plan 1998–2002. Belfast, Health Promotion Agency for Northern Ireland, 1998 (http://www.hpani.org/Resources/ physicalactivity/paactionplan.htm, accessed 22 December 2010).

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ANNEX 1. Providers of country information for this review Austria

Fritz Wagner, Ministry of Health, Vienna (National Information Focal Point for the project) Harald Treiber, Ministry of Sport, Vienna Elisabeth Wilkens, Ministry of Education, Vienna Robert Thaler, Ministry of Environment, Vienna Christian Halbwachs, Federal Sport Agency, Vienna Verena Zeuschner, Fonds Gesundes Österreich, Vienna

Belgium

Isabelle Laquiere, Federal Public Service of Health, Brussels (National Information Focal Point for the project) Ellen de Smet, Flemish Agency for Care and Health, Brussels Marie Thys, Ministry of the French Community, Brussels

Bulgaria

Stefka Petrova, National Centre of Public Health Protection, Sofia (National Information Focal Point for the project) Masha Gavrailova, Ministry of Health, Sofia Nicola Vassilevski, National Centre of Public Health Protection, Sofia Dora Ovcharova, National Centre of Public Health Protection, Sofia Mariana Yungareva, Ministry of Agriculture and Food, Sofia Anelia Tomova, Ministry of Education and Science, Sofia Boriana Pauncheva, State Agency of Youth and Sports, Sofia Bogdan Bogdanov, National Institute of Statistics, Sofia Ginka Tchavdarova, National Association of Municipalities, Sofia Yordanka Fanducova, Municipality of Sofia, Sofia Daniela Popova, Medical University, Sofia Maya Konstantinova, Medical University, Sofia Valentina Tzaneva, Medical University, Sofia Svetoslav Handjiev, Bulgarian Association for the Study of Obesity and Related Diseases, Sofia Bojidar Popov, Bulgarian Society of Nutrition and Dietetics, Sofia Enio Boiadjiev, National Federation, Sofia

Cyprus

Eliza Markidou, Ministry of Health, Nicosia (National Information Focal Point for the project) Eleni Andreou, Cyprus Dietetic Association, Nicosia Ioanna Paraskevopoulou, Sport and Activity Association, Nicosia Michalis Tornaritis, Healthy Children Association, Nicosia

Czech Republic

Eva Gottvaldova, Ministry of Health, Prague (National Information Focal Point for the project) Nada Holicka, Ministry of Education, Youth, and Sports, Prague Martin Klofanda, Federation of the Food and Drink Industries, Prague Radka Vesela, National Network of Healthy Cities, Prague

32

Denmark

Gregers Hummelmose, Danish Veterinary and Food Administration, Søborg (National Information Focal Point for the project) Sisse Fagt, National Food Institute, Copenhagen Margit V. Groth, National Food Institute, Copenhagen Lone B. Rasmussen, National Food Institute, Copenhagen Tatjana Hejgaard, National Board of Health, Copenhagen Peter Aagaard, National Board of Health, Copenhagen Susanne Wolff, National Board of Health, Copenhagen Christian Hollemann Pedersen, National Institute of Public Health, Copenhagen Dorthe Alvang, Danish Ministry of Education, Copenhagen Mads Jensbo, Local Government Denmark, Copenhagen Lars Bendix Poulsen, Danish Forest and Nature Agency, Copenhagen Else Molander, Danish Veterinary and Food Administration, Søborg Dorthe Licht Cederberg, Danish Veterinary and Food Administration, Søborg Bente Stærk, Danish Veterinary and Food Administration, Søborg Nina Mourier, Danish Whole Grain Campaign, Copenhagen Rikke Iben Neess, Danish Whole Grain Campaign, Copenhagen Regitze Siggaard, Obesity Association, Copenhagen

Estonia

Anneli Sammel, National Institute for Health Development, Tallinn (National Information Focal Point for the project) Sirje Pottisepp, Association of Estonian Food Industry, Tallinn Sirje Vaask, Estonian Health Insurance Fund, Tallinn Peeter Lusmägi, Estonian Olympic Committee, Tallinn Liis Kambek, National Institute for Health Development, Tallinn Tiiu Härm, National Institute for Health, Tallinn Lagle Suurorg, Tallinn Children’s Hospital, Tallinn Kädi Lepp, Foundation for Health Care at Schools, Tallinn Meeli Matsalu, Ministry of Social Affairs, Tallinn

Finland

Marja-Leena Ovaskainen, National Institute for Health and Welfare, Helsinki (National Information Focal Point for the project) Timo Haukilahti, Ministry of Education and Culture, Helsinki Tuija Tammelin, Foundation for sport and health sciences, University of Jyväskylä, Jyväskylä

33

France

Landy Razanamahefa, Ministry of Health and Sports, Paris (National Information Focal Point for the project) Michel Chauliac, Ministry of Health and Sports, Paris Jean-Michel Oppert, Hôpital La Pitié Salpêtrière, Paris Christine Kerneur, Ministry of Education, Paris Dominique Baelde, Ministry of Economics and Finance, Paris Laure Souliac, Ministry of Agriculture and Fisheries, Paris Sylvain Mahé, Ministry of Research, Paris Corine Delamaire, National Institute of Prevention and Health Education, Paris Jean-Luc Volatier, French Food Safety Agency, Maisons Alfort Katia Castetbon, National Institute of Health Surveillance, Saint-Maurice Arnaud Basdevant, National Institute of Health and Medical Research, Paris Serge Hercberg, Hôpital de Bobigny, Paris Chantal Simon, Centre hospitalier universitaire, Lyon Jean-François Toussaint, Institut de Recherche Biomédicale et d’Epidémiologie du Sport, Paris Ambroise Martin, Faculty of Medicine, Lyon Dominique Turck, Hôpital Jeanne de Flandre, Lille Nicole Darmon, University Aix-Marseille I & II, Marseille

Germany

Ute Winkler, Federal Ministry of Health, Berlin (National Information Focal Point for the project) Astrid Potz, Federal Ministry for Food, Agriculture and Consumer Protection, Bonn

Greece

Antonia Trichopoulou, School of Medicine, Athens (National Information Focal Point for the project) Vassiliki Benetou, School of Medicine, Athens Juseppina Kakalioura, Ministry of Health and Social Solidarity, Athens Eirini Efstathopoulou, Hellenic Health Foundation, Athens

Hungary

Eva Martos, National Institute for Food and Nutrition Science, Budapest (National Information Focal Point for the project) Csilla Kaposvari, National Institute for Food and Nutrition Science, Budapest Zoltan Török, Ministry of Social and Labour Affairs, Budapest Balazs Lendvai, Ministry of Local Government, Budapest Gabor Bardozcy, Ministry of Local Government, Budapest Istvan Simonyi, Ministry of Education and Culture, Budapest Zsuzsanna Pocsay, Ministry of Environment and Water, Budapest

Ireland

Ursula O’Dwyer, Department of Health and Children, Dublin (National Information Focal Point for the project) Cecily Kelleher, National Nutrition Surveillance Centre, Dublin Michael Gibney, Irish Universities Nutrition Alliance, Dublin Saoirse NicGabhainn, National University of Ireland, Galway

34

Italy

Luigi Fontana, National Institute of Health, Rome (National Information Focal Point for the project) Lucia Guidarelli, Ministry of Health, Rome Paola Meli, National Institute of Health, Rome

Latvia

Ilse Straume, Ministry of Health, Riga (National Information Focal Point for the project) Inga Smate, Ministry of Health, Riga Santa Livina, Ministry of Health, Riga Iveta Pudule, State Public Health Agency, Riga Linda Gulbe, Ministry of Education and Science, Riga Dace Santare, Food Centre and Veterinary Service, Riga

Lithuania

Almantas Kranauskas, Ministry of Health, Vilnius (National Information Focal Point for the project) Tatjana Zabolotnaja, Ministry of Health, Vilnius Roma Bartkeviciute, Health Education and Disease Prevention Centre, Vilnius Janina Petkevičiene, Lithuanian University of Health Sciences, Medical Academy, Kaunas Indre Chmieleauskaite, Ministry of Health, Vilnius

Luxembourg

Sven Majerus, Ministry of Health, Luxembourg City (National Information Focal Point for the project) Guy Weber, Ministry of Health, Luxembourg City Yolanda Wagener, Ministry of Health, Luxembourg City Hubert Eschette, Ministry of Sports, Luxembourg City Astrid Schom, Ministry of Education, Luxembourg City Laurence Weber, General Inspection of Social Security, Luxembourg City Germaine Thill, National Statistical Institute, Luxembourg City Christaine Zettinger, Medical School Service, Luxembourg City Sylvie Paquet, Diabetes House, Luxembourg City Alaa AlKerwi, Health Research Centre, Luxembourg City Sophie Couffignal, Health Research Centre, Luxembourg City Francois Kraus, Ministry of Agriculture, Luxembourg City

Malta

Lucienne Pace, Ministry of Health, Valletta (National Information Focal Point for the project) Neville Calleja, Health Information and Research Directorate, G’Mangia Marianne Massa, Health Promotion and Disease Prevention Directorate, Valletta Charmaine Gauci, Health Promotion and Disease Prevention Directorate, Valletta

Netherlands

Therese Noorlander, Ministry of Health, Welfare and Sport, The Hague (National Information Focal Point for the project) Cor Crans, Ministry of Health, Welfare and Sport, The Hague

35

Poland

Miroslaw Jarosz, National Food and Nutrition Institute, Warsaw (National Information Focal Point for the project)

Portugal

Pedro Graça, Ministry of Health, Lisbon (National Information Focal Point for the project) João Breda, WHO Regional Office for Europe, Copenhagen

Romania

Mihaela Armanu, Ministry of Health, Bucharest (National Information Focal Point for the project) Mariana Vlad, Institute of Public Health, Cluj-Napoca Ana Maria Farr, Centre of Public Health, Targu Mures Carmen Domnariu, Centre of Public Health, Sibiu Michaela Nanu, Institute for Mother and Child Care, Bucharest Camelia Parvan, Institute of Public Health, Bucharest Mihai Visan, Romalimenta, Bucharest Daniela Calugaru, Ministry of Education, Research and Innovation, Bucharest Florentina Furtunescu, University of Medicine and Pharmacy, Bucharest

Slovakia

Maria Avdičová, Regional Office of Public Health, Banská Bystrica (National Information Focal Point for the project) Ladislav Brázdovič, Ministry of Agriculture, Bratislava Iveta Trusková, Public Health Authority, Bratislava Zora Gerová, Regional Office of Public Health, Bratislava Dagmar Erdelyiová, Regional Office of Public Health, Michalovce Katarína Furková, Department of Paediatrics SZU, Bratislava Ján Holko, Slovak Association Sport for All, Bratislava Monika Šišková, Slovak Gymnastic Federation, Bratislava Anna Baráková, National Health Information Centre, Bratislava Katarína Chudíková, Ministry of Transport, Bratislava Silvia Tokárová, Ministry of Education, Bratislava

Slovenia

Mojca Gabrijelcic-Blenkus, National Institute of Public Health, Ljubljana (National Information Focal Point for the project) Jana Trdič, National Institute of Public Health, Ljubljana Helena Jeriček Klanjšček, National Institute of Public Health, Ljubljana Zaletelj Kragelj Lijana, CINDI Slovenia, Ljubljana Gregor Starc, Faculty of Sport, Ljubljana Rok Poličnik, Ministry of Health, Ljubljana Alenka Pavlovec, Ministry of Education, Ljubljana Andrea Backović Jurican, National Institute of Public Health, Ljubljana Andreja Drev, National Institute of Public Health, Ljubljana

36

Spain

Juan Manuel Ballesteros, Ministry of Health and Social Policy, Madrid (National Information Focal Point for the project) Maria Angeles Dal-Re, Ministry of Health and Social Policy, Madrid Napoleon Perez-Farinós, Ministry of Health and Social Policy, Madrid Carmen Villar, Ministry of Health and Social Policy, Madrid José Luis Terreros, Secretary of State for Sports, Madrid Nieves Palacios, Secretary of State for Sports, Madrid

Sweden

Ann-Cristine Jonsson, Swedish National Institute of Public Health, Östersund Anna Jansson, Swedish National Institute of Public Health, Östersund Dan Svensson, Swedish National Institute of Public Health, Östersund Lena Bjorck, National Food Administration, Uppsala Annika Sohlstrom, National Food Administration, Uppsala Christer Neleryd, National Board of Health and Welfare, Stockholm Kerstin Norstrand, National Board of Health and Welfare, Stockholm Saman Rashid, Swedish Institute for Transport and Communications Analysis, Östersund Johan Tranquist, Swedish National Centre for Child Health Promotion, Örebro Peter Schantz, Swedish School of Sports and Health Sciences, Stockholm

United Kingdom

Sheela Reddy, Department of Health, London (National Information Focal Point for the project) Charles Perry, Department of Health, London Johnson Phillip, Department of Health, London Ranna Patel, Department of Health, London Zubeda Seedat, Department of Health, London

37

38

Joint WHO/EC DG SANCO project: Monitoring progress on improving nutrition and physical activity and preventing obesity in the European Union (EU), 2008-2010 Report series No. Title 1 Report of the 1st Meeting of National Information Focal Points, Brussels, Belgium, 23–24 September 2008 2 Report of the 2nd Meeting of National Information Focal Points, Copenhagen, Denmark, 23–24 June 2009 3 Report of the Meeting on community initiatives to improve nutrition and physical activity, Berlin, Germany, 21–22 February 2008 4 Report of the Workshop on integration of data on physical activity patterns, Zurich, Switzerland, 25–26 February 2009 5 Report of the Workshop on integration of data on household food availability and individual dietary intakes, Copenhagen, Denmark, 28–29 April 2009 6 Review of physical activity surveillance data sources in European Union Member States 7 Review of dietary intake surveillance data sources in European Union Member States 8 Review of obesity surveillance data sources in European Union Member States 9 Review of food and nutrition policy development and legislation in European Union Member States 10 Review of physical activity promotion policy development and legislation in European Union Member States 11 Overview of public-private partnerships aiming to prevent obesity in European Union Member States 12 Overview of implementation of statutory and self-regulatory codes in the area of marketing foods and beverages to children in European Union Member States

For further information please contact:

Noncommunicable Diseases and Health Promotion Nutrition, Physical Activity and Obesity: Trudy Wijnhoven Technical Officer, Nutrition Surveillance E-mail: [email protected]

World Health Organization Regional Office for Europe Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark Tel.: +45 39 17 17 17. Fax: +45 39 17 18 18. E-mail: [email protected] Web site: www.euro.who.int

Review of physical activity promotion policy development - WHO/Europe

Review of physical activity promotion policy development - WHO/Europe

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